Lab & pathology prices at Saint John's Health Center
Santa Monica, CA · every code in this section with a posted price and a Medicare benchmark.
349 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $99.75 | $285 | 2.1× |
| Albumin Fluid (82042) | $13.65 | $39 | 1.8× |
| Albumin serum (82040) | $11.90 | $34 | 2.4× |
| Alpha-1-antitrypsin total (82103) | $57.75 | $165 | 4.3× |
| Alpha-Fetoprotein Serum (82105) | $54.95 | $157 | 3.3× |
| Alt (sgpt) (84460) | $11.90 | $34 | 2.2× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$34.74–$37.41 | $99.25–$106.89 | varies |
| Ammonia (82140) | $54.95 | $157 | 3.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$129.85–$133.70 | $371–$382 | varies |
| Amylase urine (82150) range across 6 matching MRF lines |
$25.20–$28.35 | $72–$81 | varies |
| Antibody helicobacter pylori (86677) | $66.50 | $190 | 3.9× |
| Antibody identification leukocyte antibodies (86021) | $95.68 | $273.36 | 6.4× |
| Antibody Identification Platelet Immunogl Assay (86023) | $47.25 | $135 | 3.8× |
| Antibody Titer (86886) | $28.18 | $80.50 | 5.4× |
| Antigen typing (86905) | $265.30 | $758 | 69.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $135.80 | $388 | 23.7× |
| Antistreptolysin o titer (86060) | $50.05 | $143 | 6.9× |
| Antithrombin iii activity (85300) | $147 | $420 | 12.4× |
| Assay Blood Carbon Dioxide (82374) | $11.20 | $32 | 2.3× |
| Assay Dir Meas Fr Estradiol (82681) | $58.80 | $168 | 2.1× |
| Assay of blood/uric acid (84550) | $11.90 | $34 | 2.6× |
| Assay of calcium in urine (82340) | $23.45 | $67 | 3.9× |
| Assay of gammaglobulin igm (82784) | $27.65 | $79 | 3.0× |
| Assay of lactic acid (83605) | $49 | $140 | 4.2× |
| Assay of serum potassium (84132) | $15.40 | $44 | 3.2× |
| Assay of urea nitrogen (84520) | $11.20 | $32 | 2.8× |
| Assay Ph Body Fluid Nos (83986) | $25.20 | $72 | 7.0× |
| Assay spec xcp ur&breath ia (82077) | $24.85 | $71 | 1.4× |
| Asy carbamazepin 10,11-epxid (80161) | $30.10 | $86 | 1.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$347.90–$365.40 | $994–$1,044 | varies |
| B cells total count (86355) | $66.50 | $190 | 1.8× |
| Bcr/abl1 gene major bp (81206) | $61.25 | $175 | 0.4× |
| Bcr/abl1 gene minor bp (81207) | $52.50 | $150 | 0.4× |
| Beta hydroxybutyrate (82010) | $53.20 | $152 | 6.5× |
| Beta Lactamase (87185) | $5.60 | $16 | 1.2× |
| Bilirubin direct (82248) | $11.90 | $34 | 2.4× |
| Bilirubin total (82247) | $11.90 | $34 | 2.4× |
| Bilirubin total transcutaneous (88720) | $6.65 | $19 | 1.3× |
| Biotinidase (82261) | $13.30 | $38 | 0.8× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$20.83–$66.15 | $59.50–$189 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $20.30 | $58 | 5.3× |
| Blood gas (82803) | $29.75 | $85 | 1.1× |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$549.50–$640.50 | $1,570–$1,830 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $46.55 | $133 | 2.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 8 matching MRF lines |
$13.92–$306.60 | $39.78–$876 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$21.18–$78.40 | $60.50–$224 | varies |
| Blood typing serologic abo (86900) | $102.90 | $294 | 34.4× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$35.70–$36.75 | $102–$105 | varies |
| Braf gene analysis (81210) | $63 | $180 | 0.4× |
| C-reactive protein (86140) | $47.95 | $137 | 9.3× |
| Ca 19-9 (86301) | $58.45 | $167 | 2.8× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$19.95–$33.25 | $57–$95 | varies |
| Calcium total (82310) range across 4 matching MRF lines |
$11.90–$21 | $34–$60 | varies |
| Cancer Antigen 125 (86304) | $58.45 | $167 | 2.8× |
| Cancer Antigen 27.29 (86300) | $58.45 | $167 | 2.8× |
| Carboxyhemoglobin (82375) range across 4 matching MRF lines |
$4.78–$53.20 | $13.66–$152 | varies |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$41.65–$46.20 | $119–$132 | varies |
| Ccp antibody (86200) | $90.30 | $258 | 7.0× |
| Cell count csf (89051) range across 4 matching MRF lines |
$35.70–$36.75 | $102–$105 | varies |
| Cell marker study (88182) | $224.70 | $642 | 3.4× |
| Chloride Serum (82435) | $11.90 | $34 | 2.6× |
| Chloride urine (82436) | $23.45 | $67 | 4.1× |
| Cholesterol total (82465) | $11.90 | $34 | 2.7× |
| Chorionic gonadotropin test (84702) | $45.85 | $131 | 3.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $32.81 | $93.75 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $52.50 | $150 | 1.5× |
| Ckmb (82553) range across 3 matching MRF lines |
$37.80–$41.30 | $108–$118 | varies |
| Clostridium Difficile (87324) | $47.95 | $137 | 4.0× |
| Clotting factor xii hageman (85280) | $65.45 | $187 | 3.4× |
| Cns DNA amp probe type 12-25 (87483) | $228.55 | $653 | 0.5× |
| Coagulation time activated (85347) | $59.15 | $169 | 13.8× |
| Coccidioides antibody (86635) | $18.90 | $54 | 1.6× |
| Cold agglutinin screen (86156) | $10.71 | $30.60 | 1.3× |
| Cold agglutinin titer (86157) | $28.56 | $81.60 | 3.5× |
| Column Chromotography Quant (82542) | $17.50 | $50 | 0.7× |
| Compatibility Each Unit Incubation (86921) | $345.10 | $986 | 1.6× |
| Compatibility test antiglob (86922) | $149.45 | $427 | 0.7× |
| Complement Antigen Each Component (86160) | $56 | $160 | 4.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $81.90 | $234 | 0.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $20.30 | $58 | 0.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $65.10 | $186 | 1.4× |
| Coombs direct (86880) | $59.15 | $169 | 11.0× |
| Cortisol saliva (82533) | $53.20 | $152 | 3.3× |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$15.05–$16.45 | $43–$47 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$12.95–$25.90 | $37–$74 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$45.85–$49.70 | $131–$142 | varies |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$18.55–$23.45 | $53–$67 | varies |
| Crossmatch electronic (86923) | $265.30 | $758 | 1.2× |
| Crossmatch immediate spin (86920) | $112.70 | $322 | 0.5× |
| Crp High Sensitivity (86141) | $50.40 | $144 | 3.9× |
| Cryptococcus ag titer (87899) | $49.35 | $141 | 3.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $22.05 | $63 | 2.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39.55 | $113 | 4.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$37.10–$40.95 | $106–$117 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$29.40–$55.30 | $84–$158 | varies |
| Culture Anaerobic (87075) | $36.75 | $105 | 3.9× |
| Culture blood (87040) | $41.30 | $118 | 4.0× |
| Culture csf (87070) | $29.05 | $83 | 3.4× |
| Culture fungus (87102) | $37.10 | $106 | 4.4× |
| Culture fungus blood (87103) | $51.45 | $147 | 2.5× |
| Culture screen only (87081) range across 3 matching MRF lines |
$19.95–$22.05 | $57–$63 | varies |
| Culture stool (87045) | $36.75 | $105 | 3.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $10.85 | $31 | 2.1× |
| Culture urine (87086) | $22.75 | $65 | 2.8× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$14.28–$26.25 | $40.80–$75 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $27.30 | $78 | 1.3× |
| Cytopath Cell Enhance Tech (88112) | $28 | $80 | 0.4× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $60.55 | $173 | 1.4× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $27.30 | $78 | 1.2× |
| Cytp Concentration Smears & Interpretation (88108) | $24.50 | $70 | 0.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $71.40 | $204 | 1.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $15.40 | $44 | 0.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $36.05 | $103 | 0.8× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$42.70–$45.15 | $122–$129 | varies |
| Digoxin (80162) | $46.55 | $133 | 3.5× |
| DNA/RNA direct probe (87149) | $51.45 | $147 | 2.6× |
| Drug assay acetaminophen (80143) | $35.35 | $101 | 1.9× |
| Drug Test Prsmv Chem Anlyzr (80307) | $57.05 | $163 | 0.9× |
| Drug Test Prsmv Instrmnt (80306) range across 3 matching MRF lines |
$22.75–$42.70 | $65–$122 | varies |
| Egfr Gene Analysis Common Variants (81235) | $139.65 | $399 | 0.4× |
| Electrolyte panel (80051) | $17.50 | $50 | 2.5× |
| Eosinophil Smear (89190) | $28 | $80 | 4.8× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$58.80–$65.45 | $168–$187 | varies |
| Exam Synovial Fluid Crystals (89060) | $39.55 | $113 | 5.4× |
| F2 Gene (81240) | $35.70 | $102 | 0.5× |
| Factor ii activity (85210) | $73.85 | $211 | 5.7× |
| Factor Inhibitor Test (85335) | $47.95 | $137 | 3.7× |
| Factor ix activity (85250) | $65.45 | $187 | 3.4× |
| Factor v activity (85220) | $77.35 | $221 | 4.4× |
| Factor v leiden mutation (81241) | $35.70 | $102 | 0.5× |
| Factor vii assay (85230) | $73.85 | $211 | 4.1× |
| Factor viii assay (85240) | $65.45 | $187 | 3.7× |
| Factor X (85260) | $65.45 | $187 | 3.7× |
| Factor xi activity (85270) | $65.45 | $187 | 3.7× |
| Factor xiii screen (85291) | $39.90 | $114 | 4.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $65.80 | $188 | 8.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $65.80 | $188 | 10.1× |
| Ferritin (82728) | $54.60 | $156 | 4.0× |
| Fetal Fibronectin (82731) | $278.25 | $795 | 4.3× |
| Fetal screen rosette (85461) | $69.65 | $199 | 7.4× |
| Fibrin Degradation Quant (85379) | $31.50 | $90 | 3.1× |
| Fibrinogen activity (85384) | $30.45 | $87 | 3.1× |
| Flow cytometry first marker (88184) | $6.56 | $18.75 | 0.0× |
| Flt3 Gene (81245) | $52.50 | $150 | 0.3× |
| Flt3 gene analysis (81246) | $52.50 | $150 | 0.6× |
| Folic Acid Serum (82746) | $31.50 | $90 | 2.1× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$39.20–$44.10 | $112–$126 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $135.80 | $388 | 0.6× |
| Frozen Blood Each Unit Thawing (86931) | $265.30 | $758 | 1.2× |
| Frozen Section (88331) | $28 | $80 | 0.1× |
| Fungi Identification Mold (87107) | $33.95 | $97 | 3.3× |
| Fungi Identification Yeast (87106) | $22.05 | $63 | 2.1× |
| Galactose transferase test (82776) | $13.30 | $38 | 1.1× |
| Gammaglobulin ige (82785) | $41.65 | $119 | 2.5× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $294.35 | $841 | 30.1× |
| Gases blood ph only (82800) | $533.40 | $1,524 | 48.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $172.20 | $492 | 0.4× |
| Gentamicin (80170) | $35.70 | $102 | 2.2× |
| Ggt (82977) | $17.50 | $50 | 2.4× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $55.65 | $159 | 9.2× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$16.10–$17.50 | $46–$50 | varies |
| Glucose body fluid (82945) | $11.20 | $32 | 2.8× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$10.50–$11.90 | $30–$34 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$32.90–$36.05 | $94–$103 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $29.40 | $84 | 3.9× |
| Gtt-added samples (82952) | $11.90 | $34 | 3.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$54.95–$60.55 | $157–$173 | varies |
| Hdl Cholesterol (83718) | $19.25 | $55 | 2.4× |
| Helicobacter Pylori Stool (87338) | $47.95 | $137 | 3.3× |
| Hematocrit (85014) | $6.65 | $19 | 2.8× |
| Hemoglobin (85018) | $6.65 | $19 | 2.8× |
| Hemoglobin a1c (83036) | $29.05 | $83 | 3.0× |
| Hemoglobin Chromotography (83021) | $13.30 | $38 | 0.7× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $26.78 | $76.50 | 3.1× |
| Hemolysins&Agglutinins Incubated (86941) | $83.30 | $238 | 6.9× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$42.70–$43.75 | $122–$125 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$72.45–$75.95 | $207–$217 | varies |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$31.50–$42.70 | $90–$122 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$37.10–$50.40 | $106–$144 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$32.20–$43.75 | $92–$125 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$31.50–$42.70 | $90–$122 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$18.20–$43.40 | $52–$124 | varies |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$37.10–$50.40 | $106–$144 | varies |
| Heterophile Antibody Screen (86308) | $33.95 | $97 | 6.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $44.45 | $127 | 5.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $46.20 | $132 | 1.9× |
| Hla Typing a/B/C Multiple Antigens (86813) | $112.46 | $321.30 | 1.9× |
| Homocysteine (83090) range across 2 matching MRF lines |
$90.30–$98.70 | $258–$282 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $42.70 | $122 | 3.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $32.20 | $92 | 0.9× |
| Iaad Ia Streptococcus Group A (87430) | $25.55 | $73 | 1.5× |
| Iadna Candida Species Amplified Probe Tq (87481) | $66.50 | $190 | 1.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $45.15 | $129 | 1.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $52.50 | $150 | 1.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $135.80 | $388 | 1.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $166.60 | $476 | 0.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $68.25 | $195 | 0.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$81.90–$116.20 | $234–$332 | varies |
| Immunoassay nonantibody (83516) | $13.30 | $38 | 1.2× |
| Immunofixation electrophoresis (86334) | $98.70 | $282 | 4.4× |
| Immunohistochemistry (88342) | $54.25 | $155 | 0.2× |
| In situ hybridization 1st probe stain (88365) | $166.60 | $476 | 0.8× |
| Influenza DNA amp probe (87502) | $71.40 | $204 | 0.7× |
| Insitu hybridization auto (88367) | $50.75 | $145 | 0.1× |
| Insitu hybridization manual (88368) | $50.75 | $145 | 0.1× |
| Iron (83540) | $24.50 | $70 | 3.8× |
| Iron Binding Capacity (83550) | $23.45 | $67 | 2.7× |
| Irradiation Blood Product Each Unit (86945) | $66.15 | $189 | 1.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $64.75 | $185 | 0.7× |
| Koh Prep (87220) range across 2 matching MRF lines |
$14.70–$16.80 | $42–$48 | varies |
| Kras Gene Variants Exon 2 (81275) | $136.50 | $390 | 0.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$12.95–$13.65 | $37–$39 | varies |
| Lactoferrin fecal qualitative (83630) | $19.95 | $57 | 1.0× |
| LDL direct (83721) | $21.35 | $61 | 2.0× |
| Legionella antigen urine (87449) | $19.95 | $57 | 1.7× |
| Leukocyte phagocytosis (86344) | $224.91 | $642.60 | 21.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $6.30 | $18 | 0.2× |
| Level ii surg pathology grossµscopic exam (88302) | $13.30 | $38 | 0.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $104.98 | $299.95 | 0.2× |
| Lipase (83690) range across 3 matching MRF lines |
$29.40–$32.55 | $84–$93 | varies |
| Lithium (80178) | $35.70 | $102 | 5.4× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$39.20–$44.10 | $112–$126 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $223.65 | $639 | 1.0× |
| M/phmtrc alys ishquant/semiq (88374) | $101.50 | $290 | 0.5× |
| Macroscopic Exam Parasite (87169) | $21.35 | $61 | 5.0× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$28.35–$31.50 | $81–$90 | varies |
| Mass Spectrometry Quant (83789) | $15.05 | $43 | 0.6× |
| Metabolic panel ionized ca (80047) | $26.25 | $75 | 1.9× |
| Microalbumin, quantitative (82043) | $35.70 | $102 | 6.2× |
| Microsatellite instability (81301) | $168.70 | $482 | 0.5× |
| Mrsa Pcr (87641) | $23.80 | $68 | 0.7× |
| Mycoplasma culture (87109) | $29.40 | $84 | 1.9× |
| Natriuretic peptide (83880) | $67.20 | $192 | 1.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $104.65 | $299 | 0.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $71.40 | $204 | 0.3× |
| Nk cells total count (86357) | $66.50 | $190 | 1.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $105 | $300 | 0.4× |
| Occult blood feces (82272) | $15.40 | $44 | 3.6× |
| Osmolality serum (83930) | $30.10 | $86 | 4.6× |
| Osmolality Urine (83935) | $40.60 | $116 | 6.0× |
| Ova and parasites smears (87177) | $39.55 | $113 | 4.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $61 | — |
| Ph urine (81003) range across 3 matching MRF lines |
$18.55–$18.90 | $53–$54 | varies |
| Phenobarbital Level (80184) | $36.75 | $105 | 2.4× |
| Phenylalanine (84030) | $5.25 | $15 | 1.0× |
| Phenytoin (Dilantin) (80185) | $35.70 | $102 | 2.7× |
| Phosphatase alkaline (84075) | $11.90 | $34 | 2.3× |
| Phosphorus Serum (84100) | $11.90 | $34 | 2.5× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$23.45–$25.20 | $67–$72 | varies |
| Pinworm exam (87172) | $16.80 | $48 | 3.9× |
| Platelet Aggregation (85576) | $31.85 | $91 | 1.3× |
| Platelet Antibodies (86022) | $189.35 | $541 | 10.3× |
| Platelet count automated (85049) | $14 | $40 | 3.1× |
| Pooling blood platelets (86965) | $135.80 | $388 | 0.6× |
| Potassium Urine (84133) | $25.20 | $72 | 5.3× |
| Prealbumin (84134) | $63 | $180 | 4.3× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $16.80 | $48 | 0.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$13.21–$24.28 | $37.74–$69.36 | varies |
| Pretx serum rbc antibody identification dilution (86976) range across 2 matching MRF lines |
$9.45–$13.57 | $27–$38.76 | varies |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$90.30–$99.40 | $258–$284 | varies |
| Progesterone (84144) | $48.30 | $138 | 2.3× |
| Prolactin (84146) | $45.50 | $130 | 2.3× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$25.90–$32.90 | $74–$94 | varies |
| Protein C Activity (85303) | $65.10 | $186 | 4.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$36.40–$46.20 | $104–$132 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $31.85 | $91 | 3.0× |
| Protein S Free (85306) | $68.25 | $195 | 4.5× |
| Protein total serum (84155) range across 4 matching MRF lines |
$11.20–$11.90 | $32–$34 | varies |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$10.15–$12.95 | $29–$37 | varies |
| PSA free (84154) range across 3 matching MRF lines |
$57.40–$63 | $164–$180 | varies |
| Pth Intact (83970) | $85.75 | $245 | 2.1× |
| Quantitative assay drug (80299) | $51.65 | $147.58 | 2.8× |
| Rbc antibody elution (86860) | $143.15 | $409 | 0.7× |
| Rbc antibody identification (86870) | $265.30 | $758 | 0.6× |
| Rbc antibody screen (86850) | $33.95 | $97 | 3.5× |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$23.56–$33.43 | $67.32–$95.50 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $5.95 | $17 | 0.0× |
| Rbc serum pretx incubj drugs (86975) range across 2 matching MRF lines |
$46.86–$62.13 | $133.88–$177.50 | varies |
| Reagent Strip/Blood Glucose (82948) | $36.75 | $105 | 7.3× |
| Reptilase test (85635) | $65.45 | $187 | 6.6× |
| Resp virus 12-25 targets (87633) | $228.55 | $653 | 0.5× |
| Reticulocyte Count (85046) | $14 | $40 | 2.5× |
| Reticulocyte separation (86972) range across 3 matching MRF lines |
$7.14–$32.13 | $20.40–$91.80 | varies |
| Rh (86901) | $30.80 | $88 | 10.3× |
| Rheumatoid factor quant (86431) | $53.90 | $154 | 9.5× |
| Rpr qualitative (86592) | $25.20 | $72 | 5.9× |
| Rubella Antibody (86762) | $39.90 | $114 | 2.8× |
| Salicylate Level (80179) | $35.35 | $101 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $64.40 | $184 | 1.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $25.55 | $73 | 0.6× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$121.80–$135.80 | $348–$388 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $159.60 | $456 | 1.1× |
| Sedimentation Rate, Automated (85652) | $12.25 | $35 | 4.5× |
| Sensitivity mic (87186) | $22.40 | $64 | 2.6× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$70.70–$77 | $202–$220 | varies |
| Sickling of rbc reduction (85660) | $11.20 | $32 | 2.0× |
| Skin Test Candida (86485) | $47.74 | $136.41 | 1.3× |
| Smear acid fast (87206) | $24.15 | $69 | 4.5× |
| Smear complex stain (87209) | $16.80 | $48 | 0.9× |
| Smear gram stain (87205) | $14.70 | $42 | 3.4× |
| Smear Special Stain (87207) | $23.45 | $67 | 3.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$15.40–$17.15 | $44–$49 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$11.90–$15.40 | $34–$44 | varies |
| Sodium Urine (84300) | $25.20 | $72 | 5.0× |
| Special Stains Group 1 (88312) | $59.15 | $169 | 0.9× |
| Special Stains Group 2 (88313) | $62.30 | $178 | 0.4× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$25.20–$28.35 | $72–$81 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$13.30–$14.70 | $38–$42 | varies |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$39.20–$95.55 | $112–$273 | varies |
| Stool cultr aerobic bact ea (87046) | $18.90 | $54 | 2.0× |
| Strep a DNA amp probe (87651) | $26.25 | $75 | 0.7× |
| Strep b DNA amp probe (87653) | $23.80 | $68 | 0.7× |
| Surg path level iii (88304) | $16.10 | $46 | 0.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$17.85–$24.15 | $51–$69 | varies |
| Surgical pathology level vi (88309) | $99.75 | $285 | 0.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $22.75 | $65 | 4.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$21.35–$24.85 | $61–$71 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $29.05 | $83 | 0.7× |
| Syphilis Test Non-Trep Quant (86593) | $57.05 | $163 | 13.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $126 | $360 | 2.7× |
| T cells total count (86359) | $66.50 | $190 | 1.8× |
| T3 Free (84481) | $35.70 | $102 | 2.1× |
| T3 Total (84480) | $46.20 | $132 | 3.3× |
| T3 Uptake (84479) | $16.10 | $46 | 2.5× |
| T4 Free (84439) | $42.35 | $121 | 4.7× |
| T4 total (84436) | $17.50 | $50 | 2.5× |
| Test for acetone/ketones (82009) | $48.30 | $138 | 10.7× |
| Testosterone total (84403) range across 3 matching MRF lines |
$53.20–$57.75 | $152–$165 | varies |
| Thrombin Time (85670) | $19.95 | $57 | 3.5× |
| Tiss cul neo disorders solid tumor (88239) | $32.81 | $93.75 | 0.2× |
| Tissue culture bone marrow (88237) | $32.81 | $93.75 | 0.2× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$26.25–$35.70 | $75–$102 | varies |
| Toxoplasma antibody (86777) | $33.95 | $97 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $11.90 | $34 | 2.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $175 | $500 | 0.8× |
| Trg gene rearrangement anal (81342) | $73.50 | $210 | 0.4× |
| Triglycerides (84478) | $16.10 | $46 | 2.8× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$39.20–$44.10 | $112–$126 | varies |
| Tumor Immunohistochem/Manual (88360) | $54.25 | $155 | 0.2× |
| Urea nitrogen urine (84540) | $12.95 | $37 | 2.3× |
| Uric acid other source (84560) | $23.45 | $67 | 4.6× |
| Urine Pregnancy Test (81025) | $28 | $80 | 3.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $24.85 | $71 | 7.8× |
| Valproic acid (80164) | $35.70 | $102 | 2.6× |
| Vancomycin (80202) | $35.70 | $102 | 2.6× |
| Viscosity serum (85810) | $17.15 | $49 | 1.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$31.50–$34.65 | $90–$99 | varies |
| Vitamin D 25-Hydroxy (82306) | $88.55 | $253 | 3.0× |
| Von willebrand factor ag (85246) | $65.45 | $187 | 2.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.